Provider Demographics
NPI:1770921223
Name:HARDCASTLE, CHRISTINA NICOLE (MD)
Entity type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:NICOLE
Last Name:HARDCASTLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 RICHARD PLACE SW
Mailing Address - Street 2:SUITE #343
Mailing Address - City:CALGARY
Mailing Address - State:ALBERTA
Mailing Address - Zip Code:T3E 7N6
Mailing Address - Country:CA
Mailing Address - Phone:403-680-9090
Mailing Address - Fax:
Practice Address - Street 1:4800 SAND POINT WAY NE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105
Practice Address - Country:US
Practice Address - Phone:206-987-3996
Practice Address - Fax:206-987-3935
Is Sole Proprietor?:No
Enumeration Date:2013-06-06
Last Update Date:2014-05-06
Deactivation Date:2014-04-03
Deactivation Code:
Reactivation Date:2014-05-06
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program